Tri-State Fellowship

Application for Children/Student Ministry Volunteers

This confidential application is to be completed by all applicants for any position, volunteer or compensated, involving the supervision or custody of minors.

Churches are by nature trusting and unsuspecting institutions, and it is these very qualities that have made them targets of child molesters. This application is an effort to reduce the likelihood of unfounded accusations tarnishing the lives of children, workers, or God's work through this Fellowship. We, the Elders, Family Ministries, and Student Ministries desire to provide a safe and secure environment for the children, students, and workers of Tri-State Fellowship.

After submitting the form, you will be contacted by the church office to obtain your SSN in order to complete a background check.

Your name *

Last name

Email address *

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

Birthdate *

Middle Name *

Gender *

What is your preference for communications?

For reminders, volunteer opportunities, etc.

Phone Call

Text

E-Mail

Is there anything that would restrict when or how long you would be able to serve?

What types of activities have you done with children in the past?

How do you desire to work with children or youth in the future?

Is there an age group that you would prefer to work with?

Please select any that apply.

Infant Nursery

Walking Toddler Nursery

2-3 Year Old Class

Pre-K/Kindergarten Class

1st-3rd Grade

4th-5th Grade

Middle School

High School

Where Needed Most

You may request a private interview with the Family Ministries or Student Ministries pastor to explain your answers if you answer YES to any of the following questions

Have you ever been accused or convicted of a felony? *

Have you ever been accused or convicted of a criminal offense involving children? *

Have you ever been reported to a law enforcement, social service, or child protection agency regarding abuse or misconduct involving children? *

Is there any fact or circumstance involving you or your background that would call into question your being entrusted with the supervision, guidance, or care of children/youth? *

Please list 2 references:

Name

Relationship

Phone number

Phone type

Name

Relationship

Phone number

Phone type

Applicant's Statement

By entering your electronic signature, you agree to the following statement:
The information contained in this application is correct to the best of my knowledge. I authorize a background check and any references or churches listed to give you any information (including opinions) regarding my character and fitness for working with children/youth. I release all such references from any liability for furnishing such evaluations to you, provided they do so in good faith and without malice. I waive any right that I may have to inspect references provided on my behalf. Should my application be accepted, I agree to be bound by the by-laws, Statement of Faith, and policies of Tri-State Fellowship and to refrain from unscriptural conduct in the performance of my service on behalf of the church.

Signature *

Please type your full name

Date *

Statement of Faith

1. The Scriptures, both Old and New Testaments, to be the inspired Word of God without error in the original writings, the complete revelation of His will for the salvation of men, and the Divine and final authority for all Christian faith and life. (2 Timothy 3:16-17; 2 Peter 1:20-21)

2. In one God, Creator of all things, infinitely perfect and eternally existing in three persons, Father, Son, Holy Spirit. (Genesis 1:1; Colossians 1:16)

3. That Jesus Christ is true God and true man, having been conceived of the Holy Spirit and born of the Virgin Mary. He died on the cross as a sacrifice for our sins according to the Scriptures. Further, He arose bodily from the dead, ascended into Heaven, where at the right hand of the Majesty on High, He is now our High Priest and Advocate. (Luke 1:35; Acts 1:11; 1 Corinthians 15:3-4; 1 John 2:1)

4. That the ministry of the Holy Spirit is to glorify the Lord Jesus Christ, and during this age to convict men, regenerate the believing sinner, indwell, guide, instruct, and empower the believer for godly living and service. (John 16:7-14; Ephesians 1:13-14)

5. That man was created in the image of God but fell into sin and is therefore lost and only through regeneration by the Holy Spirit can salvation and spiritual life be obtained. (Genesis 1:27; John 3:3; Romans 3:22-23, 5:12)

6. That the shed blood of Jesus Christ and his resurrection provide the only ground for justification and salvation for all who believe, and only such as receive Jesus Christ are born of the Holy Spirit, and thus become children of God. (John 1:12-13, 5:24; Romans 8:14; Ephesians 2:8-9)

7. That water baptism and the Lord's Supper are ordinances to be observed by the Church during the present age. They are, however, not to be regarded as a means of salvation. (Matthew 28:18-20; 1 Corinthians 11:23-26)

8. That the true Church is composed of all such person who through a saving faith in Jesus Christ have been regenerated by the Holy Spirit and are united together in the body of Christ of which He is the head. (Ephesians 4:4-6; Titus 3:5, 1 John 5:11-12)

9. That only those who are thus members of the true Church shall be eligible for membership in the local church. (Acts 2:47)

10. That Jesus Christ is the Lord and Head of the Church, and that every local church has the right under Christ to decide and govern its own affairs. ( Ephesians 1:22; Colossians 1:18-22)

11. In the personal, pre-millennial and imminent return of our Lord, and that this "Blessed Hope" has a vital bearing on the personal life and service of the believer. (Acts 1:11; Titus 2:13; 1 John 3:1-3)

12. In the bodily resurrection of the dead; of the believer to everlasting blessedness and joy with the Lord; of the unbeliever to judgement and everlasting conscious punishment. (John 5:24-29; 1 Thessalonians 4:14-18; Revelation 20:15)

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